| Autor: |
Lucido, Francesco Saverio, Scotti, Luigi, Scognamiglio, Giuseppe, Gambardella, Claudio, Brusciano, Luigi, del Genio, Gianmattia, Pizza, Francesco, Ruggiero, Roberto, Parmeggiani, Domenico, Nesta, Giusiana |
| Zdroj: |
International Journal of Surgery Case Reports; 2020 Supplement, Vol. 77, pS88-S91, 4p |
| Abstrakt: |
• Gastric perforation caused by intragastric balloon represents a rare but life-threatening complication. • There is a lack of information about perforation in the same day of surgery. • An endoscopic and laparoscopic approach with a gastric wedge resection was performed. IGB (Intragastric Balloon) is acknowledged to be a safe and secure device, whose outcomes in terms of weight loss are widely discussed. Bariatric community has soon noted tolerance and benefit of this tool, considered a first and easy step before bariatric surgery. Nevertheless, some authors have described a series of complications that, although rare, could be life threatening and hard to manage, as a gastric perforation. We reported a case of a 55-year-old obese woman, undergone placement of IGB device heisting in a gastric perforation. In the same day of surgery, we performed an emergency, applying a combined endoscopic and laparoscopic approach, to remove the balloon and to close perforation by a gastric resection. Discussion. Short term outcome was satisfactory, and the patient had a successful further follow up and weight loss. IGB is a valuable tool among bariatric procedure, nevertheless the surgeon has to consider the possible and life-threatening complications and to provide a multidisciplinary equip to face this occurrence. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Supplemental Index |
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